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by on April 23, 2015

father and sonNew Patient Forms:

The following six forms must be reviewed and completed for your initial appointment with VISA. It is very important for you to bring in these completed forms in order to expedite the registration process as well as your visit.  For additional things needed at your initial appointment, please visit our “Education Center”.

Additional Forms:

This section of forms relays important information regarding pre and post procedure instructions, certain medication titration instructions, radiofrequency denervation procedure education and the release of medical information.  All of these forms may not apply to you and are posted for reference only.  If you have any questions whether these forms apply to you, feel free to contact our office.

It is extremely important for you to review the Pre-Procedure Instructions form if you are planning to receive an injection.  If the pre-procedure instructions are not followed prior to having your injection, your safety could be compromised and your procedure may be canceled.